He had high myopia and glaucoma and was using two glaucoma eye drops prescribed by another clinic. He first visited us for cataract surgery; his eye pressure was controlled in the low teens of mmHg, but his visual field loss had already progressed to a moderate stage, so we proposed combined glaucoma surgery, which places little burden on the patient. After discussion, the intraocular lenses were set for micro-monovision with the right eye favoring distance; six months after surgery, his eye pressure is stable at 7–9 mmHg without glaucoma drops, and he is doing well. Depending on the course of eye pressure and field loss, glaucoma drops may have to be resumed in future, but besides improved vision he was freed from daily glaucoma drops, and he was satisfied. Its indications are limited, but this case reconfirmed the effectiveness of MIGS (minimally invasive glaucoma surgery), which places little burden on patients.
Cataract Surgery Cases / Case
Monofocal IOL
Case #11: Man in his 60s from Suginami (monofocal lenses plus glaucoma surgery)
This is an English translation of the original Japanese case report. If the two differ, the Japanese version takes precedence. Visual acuity is shown in decimal notation (1.0 ≈ 20/20).
Change in visual acuity (decimal; corrected values in parentheses)
Right eye: pre-op → post-op
Left eye: pre-op → post-op
2018.04.08
Patient questionnaire
Answers translated from Japanese.
- What was your condition before surgery?
My vision had dropped and daily life was difficult.
- What led you to have surgery?
It was affecting my life (driving).
- Which did you choose, a multifocal lens or a monofocal lens?
I'd worn glasses for many years and have a "glasses face," so monofocal lenses.